| NPI | 1255066262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012941A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 28210532A) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2023-08-04 |